Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
22 Cards in this Set
- Front
- Back
|
CASE STUDY
IBW |
106 + (10x6) = 166 lb
|
|
|
CASE STUDY
nutritional status |
weight change = b/c
N/V = c Overall = C |
|
|
CASE STUDY
diet that C.B should have been instructed on prior to first discharge |
diet rich in fiber, avoid spicy & fried foods, and alcohol, cut down on coffee, tea, pop, citrus fruits, chocolate, and eat smaller meals
|
|
|
draw gastrojejunostomy
|
draw
|
|
|
CASE STUDY
state type of diet and restrictions of the diet after the gastrojejunostomy |
small frequent meals, no sweets & sugars, liquids 1/2hr after meals,
|
|
|
CASE STUDY
state the nutrients that may be malabsorbed |
iron & b12 - reduction in gastric secretions
|
|
|
SGA GUIDELINES
NORMAL |
no changes in parameters
|
|
|
SGA GUIDELINES
moderate |
greater than 5% UBW lost in last month (no edema or ascites present)
|
|
|
SGA GUIDELINES
severe |
a net weight loss of 10% UBW (no edema or ascites present)
severe loss of subcutaneous tissue and muscle wasting |
|
|
SGA GUIDELINES
dietary intake |
check duration and degree of reduction in intake
significant only if inadequate intake is greater than 2 weeks do not forget to look at intake in hospital (low cals, npo, clear liquid) |
|
|
SGA GUIDELINES
GI symptoms |
nausea, vomitting, diarrhea, anorexia
check duration and degree of gi symptoms significant only n/v/d/a is greater than 2 weeks |
|
|
SGA
|
gastrointestinal symptoms, functional impairment, muscle wasting, subcutaneous fat loss, edema
|
|
|
SGA - weight change
clothing size overall loss % loss of usual weight change in past 2 weeks |
clothing size: normal or change
overall loss in past month: ___ 6 months: ____ 1 year: _____ <5% 5-10% >10% increase (gain), no change, decrease (continued loss) |
|
|
SGA - dietary intake
reduction overall change duration diet change |
unintentional or intentional
no change or change (increase or decrease) weeks/months suboptimal solids(75%,50%,25% intake), full liquid diet, hypocaloric fluids, npo |
|
|
SGA - GI symptoms
|
persisting daily for >2 weeks
none or nausea diarrhea or vomitting dysphagia/odynaphagia or anorexia |
|
|
SGA - functional impairment
overall impairment duration type |
none, mild, severe
days, weeks, months ambulatory(walking or wheelchair) or bedridden |
|
|
SGA - Muscle Wasting
|
bicep, tricep, quadricep, deltoid, temple
|
|
|
SGA - subcutaneous fat loss
|
tricep, chest, eyes, perioral, interosseous, palmar
|
|
|
SGA – edema
|
hands, sacral, lower extremity
|
|
|
nutrition
|
science of foods, nutrients and other substances they contain, and of their actions within the body
|
|
|
nutrients
|
essential vs. non essential
chemical substances obtained from food and used in body to provide energy, structural materials, and regulating agents to support growth, maintenances, and repair of body's tissues carbs, lipids, proteins, vitamins, minerals, h20 |
|
|
essential nutrients
|
we can't make enough
arginine - enhances immune system glutamine - integrity of GI tract/lining, and chemotherapy |
